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General NPI Number Information
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NPI Number | 1568449445
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Entity Type | Individual
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Provider Name | PAMELA JEAN ACEY MD RD LD
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Gender | Female
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Dates
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Enumeration Date | 12/30/2005
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Last Update Date | 04/25/2012
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Provider Practice Location Address
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Address Line | 500 BOURNE AVE
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City | SOMERSET
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State | KY
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Zip | 42501-1916
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Country | US
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Telephone | 606-678-4761
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Fax | 606-678-2708
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Provider Business Mailing Address
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Address Line | 500 BOURNE AVE
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City | SOMERSET
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State | KY
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Zip | 42501-1916
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Country | US
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Telephone | 606-678-4761
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Fax | 606-676-9671
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 0800
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License Number State | KY
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